| NPI | 1922091834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M MUNSON Administrator 203-237-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CT 2242) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CT 2242) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |